Reoperation after pericardial patch tracheoplasty

Carl L. Backer*, Constantine Mavroudis, Michael E. Dunham, Lauren D. Holinger

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

Between 1982 and 1995, 28 infants underwent pericardial tracheoplasty for long-segment tracheal stenosis. Seven of these infants required reoperation or stenting for residual or recurrent tracheal or bronchial stenosis. Revisions were performed 2 to 6 months after the original procedure with cardiopulmonary bypass and bronchoscopic guidance. Two patients underwent repeat pericardial patch tracheoplasty, and four patients underwent insertion of a rib cartilage graft. Two of these patients required Palmaz wire expandable stents and one other patient also underwent stent placement. There was one late death 1 year after cartilage graft insertion. The authors identified three risk factors for reoperation after tracheoplasty; younger age at initial surgery and associated pulmonary artery sling or tracheal right upper lobe bronchus. Good intermediate results are possible in this difficult group of children using a selective and inclusive strategy for tracheal enlargement that includes repeat pericardial tracheoplasty, autologous cartilage grafts, and expandable wire stents.

Original languageEnglish (US)
Pages (from-to)1108-1112
Number of pages5
JournalJournal of pediatric surgery
Volume32
Issue number7
DOIs
StatePublished - Jul 1997

Keywords

  • Complete tracheal rings
  • Congenital tracheal stenosis
  • Reoperation
  • Tracheoplasty

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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